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Powerful Software and Faster Claim Audits

Oct 18, 20242 min read

Powerful Software Improves Claim Audits

Sep 16, 20242 min read

Audit Employee Benefit Claims More Accurately

Many large employers with self-funded medical plans were driven to conduct audits primarily due to government regulations like ERISA and Sarbanes-Oxley. However, today, a 100-percent medical or Rx audit will cover every claim processed and paid. As a...

Oct 30, 20242 min read

Audit Claims Before Medical Plan Budgeting

Aug 22, 20242 min read

How Medical Claim Auditors Are Unsung Heroes

Jul 29, 20242 min read

Skyrocketing Drug Prices Demand Scrutiny

Anyone involved in paying for prescription medicines knows the prices can be shocking. Therefore, you can imagine the impact on employer-funded health plans paying on behalf of members. In the current environment, running an Rx audit routinely makes ...

May 10, 20242 min read

Proven Valuable: Benefit Claim Audits

Undoubtedly, health and pharmacy plans are the most significant expenses in the array of employee benefits self-funded by large employers. As a result, you can see why medical claim auditing services get much of the attention. But it's wise to routin...

Apr 1, 20242 min read

An Upgrade Option for Health Plan Performance

When your company sponsors benefit plans that pay millions of dollars in claims each week, it's essential to run oversight. Medical claim auditing and a similar program for pharmacy payments are some of the best ways to do it. When a professional aud...

Mar 7, 20242 min read

Improving A Health Plan's Performance

Large employers spend millions of dollars monthly on health care for their employees. Their self-funded plans can benefit from medical claim auditing to improve performance. A rudimentary audit will flag errors and irregularities, many of them recove...

Feb 8, 20242 min read

How Health Plans Sponsors Monitor Claims

Large corporate and nonprofit employers self-fund their benefit plans for many good reasons. It also means running oversight on their expenditures, including medical claim audits, is essential. When you consider the dollars on the line, made even mor...

Jan 24, 20242 min read

Audits and Oversight in Health Plan Management

The coronavirus pandemic put a unique stain on many systems in society and none more heavily than employer-funded health plans. They took a beating, and many lessons were learned, as medical claims auditing has shown us in the pandemic's aftermath. T...

Dec 14, 20232 min read

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